Form of Authorization for the Sale of Hametz

empower and permit Rabbi Re'em to act in my (our) behalf, to sell all the hametz (leaven) and all products  and items containing even the slightest amount of  hametz possessed by me (us), knowingly or unknowingly, as defined by Torah and Rabbinic Law, and to lease all places wherein the above-mentioned products owned by me (us) may be found, especially at the premises located at insert address where the hametz will be stored

as a contribution to Sisterhood of Temple Beth El. I (we) do hereby affix my (our) signature (s)
 

The above takes effect as of Friday, April 15th, at 9 am.
This form must be in the Rabbi's hand by 2 pm on Thursday, April 14th.